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癌症幸存者在 COVID-19 疫情期间的心理症状:一项纵向研究。

Psychological symptoms of cancer survivors during the COVID-19 outbreak: A longitudinal study.

机构信息

School of Nursing, Xuzhou Medical University, Xuzhou, China.

Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing, China.

出版信息

Psychooncology. 2021 Mar;30(3):378-384. doi: 10.1002/pon.5588. Epub 2020 Nov 23.

DOI:10.1002/pon.5588
PMID:33147652
Abstract

OBJECTIVE

Due to the coronavirus disease 2019 (COVID-19) pandemic, self-isolation at home was adopted to control the spread of COVID-19 in China for 3 months from 29 January 2020. The psychological status of cancer survivors is affected by their social environment. In this study, we investigated the psychological status and psychological symptoms of Chinese cancer survivors.

METHODS

A longitudinal study design was adopted, and an online sample of cancer survivors was successfully recruited via the Internet communities of cancer support groups. From 14 February to 25 May, 111 cancer survivor families completed the symptom checklist 90 (SCL-90) online three times (T1:14 to 24 February; T2: 1 to 10 April; T3: 15 to 25 May).

RESULTS

For survivors and their family members, the mean total score of the SCL-90 was 172.05 (13.30) and 142.76 (26.80) at T1, 155.91 (12.18) and 133.42 (15.93) at T2, and 142.75 (11.56) and 130.14 (14.16) at T3, respectively. The SCL-90 scores of cancer survivors were significantly higher than those of family members and Chinese norms at T1, T2, and T3. Nine psychological symptoms of the SCL-90 in cancer survivors significantly declined from T1 to T2 and T3.

CONCLUSIONS

The COVID-19 pandemic has had a significant adverse impact on cancer survivors and their families. Psychological assistance should be provided to cancer survivors.

摘要

目的

由于 2019 年冠状病毒病(COVID-19)大流行,中国自 2020 年 1 月 29 日起采取了居家自我隔离措施,以控制 COVID-19 的传播,时长 3 个月。癌症幸存者的心理状态受到其社会环境的影响。本研究旨在调查中国癌症幸存者的心理状态和心理症状。

方法

采用纵向研究设计,通过癌症支持小组的互联网社区成功招募了癌症幸存者的在线样本。从 2 月 14 日至 5 月 25 日,111 个癌症幸存者家庭分三次(T1:2 月 14 日至 24 日;T2:4 月 1 日至 10 日;T3:5 月 15 日至 25 日)在线完成症状清单 90(SCL-90)。

结果

对于幸存者及其家庭成员,SCL-90 的总分平均值在 T1 时分别为 172.05(13.30)和 142.76(26.80),在 T2 时分别为 155.91(12.18)和 133.42(15.93),在 T3 时分别为 142.75(11.56)和 130.14(14.16)。在 T1、T2 和 T3,癌症幸存者的 SCL-90 评分均显著高于家庭成员和中国常模。SCL-90 的 9 种心理症状在癌症幸存者中从 T1 到 T2 和 T3 显著下降。

结论

COVID-19 大流行对癌症幸存者及其家庭产生了重大负面影响。应向癌症幸存者提供心理援助。

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